1C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEW
The clinical case of a rare proarrhythmic effect of antiarrhythmic drugs with a poor prognosis (medication-induced atrial flutter in a patient with "malignant" Kent’s bundle) is presented. Radiofrequency ablation (RFA) is the most justified treatment method in patients with WPW-syndrome an...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Stolichnaya Izdatelskaya Kompaniya
2015-12-01
|
Series: | Racionalʹnaâ Farmakoterapiâ v Kardiologii |
Subjects: | |
Online Access: | https://www.rpcardio.com/jour/article/view/558 |
id |
doaj-627d135d07ec475798a1dace42865326 |
---|---|
record_format |
Article |
spelling |
doaj-627d135d07ec475798a1dace428653262021-09-03T13:15:17ZengStolichnaya Izdatelskaya KompaniyaRacionalʹnaâ Farmakoterapiâ v Kardiologii1819-64462225-36532015-12-018219620010.20996/1819-6446-2012-8-2-196-2005581C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEWR. R. Mamatkazina0I. P. Kolos1S. E. Serdyuk2E. P. Mazygula3A. V. Sveshnikov4Institute of Clinical Cardiology named after A.L. Myasnikov , Russian Cardiology Research and Production ComplexState Research Center for Preventive MedicineState Research Center for Preventive MedicineState Research Center for Preventive MedicineRussian National Medical and Surgical Center named after N.I. PirogovThe clinical case of a rare proarrhythmic effect of antiarrhythmic drugs with a poor prognosis (medication-induced atrial flutter in a patient with "malignant" Kent’s bundle) is presented. Radiofrequency ablation (RFA) is the most justified treatment method in patients with WPW-syndrome and "malignant" Kent’s bundle. RFA in descripted case has been postponed due to technical reasons. While waiting for RFA and after consideration of the potential risks and benefits the decision to use antiarrhythmic drugs to block the additional bundle was made. Paroxysm of broad-complex tachycardia developed on the third day of the treatment. It was regarded as a paroxysm of atrial fibrillation/flutter in the patient with WPW syndrome induced by taking antiarrhythmic drugs class 1C (allapinine). Review of the literature on the atrial fibrillation induced by antiarrhythmic of 1C class, and association of atrial fibrillation with WPW-syndrome is presented.https://www.rpcardio.com/jour/article/view/558atrial fibrillationwolff-parkinson-white syndromeradiofrequency ablation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
R. R. Mamatkazina I. P. Kolos S. E. Serdyuk E. P. Mazygula A. V. Sveshnikov |
spellingShingle |
R. R. Mamatkazina I. P. Kolos S. E. Serdyuk E. P. Mazygula A. V. Sveshnikov 1C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEW Racionalʹnaâ Farmakoterapiâ v Kardiologii atrial fibrillation wolff-parkinson-white syndrome radiofrequency ablation |
author_facet |
R. R. Mamatkazina I. P. Kolos S. E. Serdyuk E. P. Mazygula A. V. Sveshnikov |
author_sort |
R. R. Mamatkazina |
title |
1C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEW |
title_short |
1C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEW |
title_full |
1C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEW |
title_fullStr |
1C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEW |
title_full_unstemmed |
1C-INDUCED ATRIAL FLUTTER IN A PATIENT WITH WPW SYNDROME: CASE REPORT AND REVIEW |
title_sort |
1c-induced atrial flutter in a patient with wpw syndrome: case report and review |
publisher |
Stolichnaya Izdatelskaya Kompaniya |
series |
Racionalʹnaâ Farmakoterapiâ v Kardiologii |
issn |
1819-6446 2225-3653 |
publishDate |
2015-12-01 |
description |
The clinical case of a rare proarrhythmic effect of antiarrhythmic drugs with a poor prognosis (medication-induced atrial flutter in a patient with "malignant" Kent’s bundle) is presented. Radiofrequency ablation (RFA) is the most justified treatment method in patients with WPW-syndrome and "malignant" Kent’s bundle. RFA in descripted case has been postponed due to technical reasons. While waiting for RFA and after consideration of the potential risks and benefits the decision to use antiarrhythmic drugs to block the additional bundle was made. Paroxysm of broad-complex tachycardia developed on the third day of the treatment. It was regarded as a paroxysm of atrial fibrillation/flutter in the patient with WPW syndrome induced by taking antiarrhythmic drugs class 1C (allapinine). Review of the literature on the atrial fibrillation induced by antiarrhythmic of 1C class, and association of atrial fibrillation with WPW-syndrome is presented. |
topic |
atrial fibrillation wolff-parkinson-white syndrome radiofrequency ablation |
url |
https://www.rpcardio.com/jour/article/view/558 |
work_keys_str_mv |
AT rrmamatkazina 1cinducedatrialflutterinapatientwithwpwsyndromecasereportandreview AT ipkolos 1cinducedatrialflutterinapatientwithwpwsyndromecasereportandreview AT seserdyuk 1cinducedatrialflutterinapatientwithwpwsyndromecasereportandreview AT epmazygula 1cinducedatrialflutterinapatientwithwpwsyndromecasereportandreview AT avsveshnikov 1cinducedatrialflutterinapatientwithwpwsyndromecasereportandreview |
_version_ |
1717816916153729024 |